[HN Gopher] AstraZeneca Covid-19 vaccine study put on hold due t...
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       AstraZeneca Covid-19 vaccine study put on hold due to suspected
       adverse reaction
        
       Author : aaavl2821
       Score  : 119 points
       Date   : 2020-09-08 21:26 UTC (1 hours ago)
        
 (HTM) web link (www.statnews.com)
 (TXT) w3m dump (www.statnews.com)
        
       | yread wrote:
       | Where it says "serious adverse reaction" do they mean the adverse
       | reaction was serious or that it's an actual grade 3 adverse event
       | (SAE)? https://en.wikipedia.org/wiki/Serious_adverse_event
        
         | SparkyMcUnicorn wrote:
         | The article seems to indicate that this could be a SAE, but
         | also that "the participant is expected to recover".
        
       | dang wrote:
       | Other ongoing Covid vaccine thread:
       | https://news.ycombinator.com/item?id=24411540
        
       | notatoad wrote:
       | maybe this is off-topic, but it's interesting to me that this is
       | the first time i've heard this referred to as the "astrazeneca
       | vaccine". all the previous good-news stories seemed to call it
       | the oxford vaccine.
        
         | mikeyouse wrote:
         | So Oxford (the Jenner Institute / Oxford Vaccine Group)
         | developed the vaccine but they're partnering with AZ to get it
         | tested and then manufactured and distributed if the testing
         | goes well. Oxford sponsored the initial studies and AZ is
         | taking over now that it's more sophisticated.
         | 
         | Short background here:
         | 
         | https://www.cnbc.com/2020/05/21/coronavirus-us-gives-astraze...
        
         | dekhn wrote:
         | This is a US trial, AZ is listed as the Sponsor for the trial,
         | https://clinicaltrials.gov/ct2/show/NCT04516746 and the PIs
         | listed are both at US.
        
           | seedless-sensat wrote:
           | Except the adverse reaction was not in the US trial.
        
       | aphextron wrote:
       | It's important to note that the AstraZeneca vaccine is adenovirus
       | based [0], not mRNA based like the Pfizer and Moderna candidates.
       | It was to be expected that this approach could cause more
       | complications. mRNA vaccines have their own issues, but they do
       | not involve live viruses being injected [1]. Instead they use
       | lipid nanoparticles as a substrate to enter the body's cells [2].
       | 
       | [0] https://www.astrazeneca.com/media-centre/press-
       | releases/2020...
       | 
       | [1] https://www.phgfoundation.org/briefing/rna-vaccines
       | 
       | [2] https://www.nature.com/articles/s41586-020-2639-4
        
         | mrfusion wrote:
         | So how does this one work? Live adeno's?
        
           | ethbr0 wrote:
           | The chimpanzee adenovirus is used as a vector, with its
           | payload replaced with instructions to manufacture SARS-CoV-2
           | spike protein.
           | 
           | Virus enters body, hopefully survives immune system long
           | enough to insert instructions into your cells, your cells
           | churn out tons of copies of coronavirus spike protein, your
           | immune system sees the surfeit of spike protein and develops
           | a response (antibodies and T* cells).
           | 
           | https://blogs.sciencemag.org/pipeline/archives/2020/04/23/a-.
           | ..
        
           | aphextron wrote:
           | >So how does this one work? Live adeno's?
           | 
           | Yes. It uses a live (weakened) chimpanzee adenovirus to
           | insert the spike protein.
           | 
           | https://www.drugs.com/history/azd1222.html
        
             | mrfusion wrote:
             | Do the adenos actually have to infect the cells to produce
             | the spikes?
        
         | kevin_b_er wrote:
         | It could still be an immune system misfire. A vaccine is trying
         | to create an large immune system response enough that the real
         | infection is thwarted.
         | 
         | With that, a misfire can happen with any vaccine attempt,
         | because an immune response is what's required.
        
         | EForEndeavour wrote:
         | > rather than producing them outside the body and then
         | injecting them
         | 
         | That's not what the Oxford/AZ vaccine does, is it? From what I
         | understand, it's a viral vector vaccine engineered to deliver
         | DNA that encodes the SARS-CoV-2 spike protein into human cells
         | and induce them to express the protein, stimulating the immune
         | response.
         | 
         | The plan was never to introduce spike protein "produced outside
         | the body." The mechanism of action is getting the body to
         | produce spike protein and learn to attack it as foreign. If the
         | Oxford/AZ vaccine doesn't "take advantage of your own cells to
         | produce the spike protein," I don't know what does.
         | 
         | https://labblog.uofmhealth.org/rounds/top-5-covid-19-vaccine...
        
           | sudosysgen wrote:
           | Yes, that was made in comparison to conventional vaccines
           | that either use inactivated viruses or viral proteins
        
       | hartator wrote:
       | Is this one of the two favorites?
        
         | Marazan wrote:
         | Yes. The one in pole position.
         | 
         | Until now.
        
           | mrfusion wrote:
           | Is that why the market was down today?
        
             | marc__1 wrote:
             | No, the AZN announcement was made after the market closed.
             | Take for instance Moderna, who was -13% today, and is +3.7%
             | after-hours
        
             | codeisawesome wrote:
             | Not tracking the real world anymore
        
       | volkse wrote:
       | The russian vaccine is also based on adenovirus vectors. Not
       | clear if the method of delivery is to be blamed here, but it
       | could be the cause for the adverse effects..
        
       | roody15 wrote:
       | "The platform has not been used in an approved vaccine, but has
       | been tested in experimental vaccines against other viruses,
       | including the Ebola virus."
       | 
       | hmmm... this method of vaccination has never been used in an
       | approved vaccine.
        
         | alkonaut wrote:
         | You'll find that's the case for several of the front runners.
        
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       (page generated 2020-09-08 23:00 UTC)